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1457688814
LARISSA BOGOMOLNY
EAST BRUNSWICK, NJ
NPI
1457688814
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NJ 22DI02420200)
Enumeration Date
2009-11-05
Last Update Date
2011-08-02
Business Address
Dr. LARISSA BOGOMOLNY DMD
29 BRUNSWICK WOODS DR
EAST BRUNSWICK, NJ 08816-5601
Phone number: 732-718-3676
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Mailing Address
Dr. LARISSA BOGOMOLNY DMD
6 PERIWINKLE CT
EAST BRUNSWICK, NJ 08816-2783
Phone number: 732-718-3676
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